Review Article

Brain AVMs: An Endovascular, Surgical, and Radiosurgical Update

Table 1

Grading systems for AVMs.

Spetzler-Martin grading system for AVMs [9]Spetzler-Ponce grading system for AVMs [10]Grading score proposed by Lawton [11]
PointsClassSpetzler-Martin gradePoints

Size of nidusAge (years)
 Small (<3 cm)1 AI, IISurgical resection <201
 Medium (3–6 cm)2 BIIIMultimodality treatment 20–402
 Large (>6 cm)3 CIV, VNo treatment >403
LocationUnruptured presentation
 Noneloquent site0 No0
 Eloquent site1 Yes1
Pattern of venous drainageDiffuse
 Superficial only0 No0
 Deep1 Yes1